Provider Demographics
NPI:1881693208
Name:PHYSICAL THERAPY SOLUTIONS,LLC
Entity type:Organization
Organization Name:PHYSICAL THERAPY SOLUTIONS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PT, MOMT
Authorized Official - Phone:205-871-4914
Mailing Address - Street 1:1770 INDEPENDENCE CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1259
Mailing Address - Country:US
Mailing Address - Phone:205-871-4914
Mailing Address - Fax:205-871-6516
Practice Address - Street 1:1770 INDEPENDENCE CT
Practice Address - Street 2:SUITE A
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1259
Practice Address - Country:US
Practice Address - Phone:205-871-4914
Practice Address - Fax:205-871-6516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH2304261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP53298Medicare UPIN